TODD M MACK DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016005154

License Status

ACTIVE

Business

First Name

TODD

Middle

Last Name

MACK

Suffix

DPM

Business Name

TODD M MACK DPM

Original Issue Date

08/28/2003

Effective Date

01/05/2025

Expiration Date

01/31/2027

City

BELLWOOD

State

Zip

60104

County

COOK

Ever Disciplined

LastModifiedDate

02/26/2025